Individual
RAJEEV PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 NIELSON ST STE 102, WATSONVILLE, CA 95076-2491
(831) 768-6217
(831) 768-6219
Mailing address
65 NIELSON ST STE 102, WATSONVILLE, CA 95076-2491
(831) 768-6217
(831) 768-6219
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
11806
NV
207RN0300X
Nephrology Physician
57397
TN
207RN0300X
Nephrology Physician
Primary
C128004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275548943
—
NV
Enumeration date
07/30/2006
Last updated
06/12/2026
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